Transforming India’s Health Care System for Universal Care: Learning from COVID-19

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Dr. PR Sodani, President of IIHMR University in Jaipur, emphasizes key learning from the pandemic

According to WHO, “The health care system is made up of all organizations, people and actions. Main purpose To promote, recover and maintain good health. The health system is a means of achieving health policy goals by achieving three basic goals: b) Meet people’s expectations. c) Provide financial protection against the cost of unhealthy.The goal is achieved through four basic functions: providing medical services; Procurement, pooling, and allocation of income to purchase those services. Create resources by investing in people, buildings, equipment, drugs and supplies.And act as the overall manager of the resources, powers and expectations entrusted to them..

To enhance the medical system, the function was further divided into a set of six “building blocks”. It is commonly known as WHO’s medical system framework. b) Healthcare workers; c) Information; d) Healthcare products, vaccines and technologies. e) Financing; f) Leadership and Governance (Stewardship). With a population of over one billion and unfair access to health care, India is responsible for leveraging these components to transform the health care system, especially after a pandemic.

Institutional integration system: Service delivery in the medical system organizes and manages inputs and services to ensure access, quality, safety, and continuity of care for all health conditions, without restrictions on location or time. Recent experience with the COVID-19 pandemic clearly demonstrates that in order to build a strong healthcare system in India: Ability to prepare and respond at all levels – Country / State / District; Improve the ability to deal with COVID-19 through testing, follow-up, and treatment. Strengthen the capacity of local organizations, strengthen the interactions between them, and improve the institutions that support these interactions. Multiple organizations, including the Ministry of Health and Family Welfare, private healthcare professionals, and non-medical sector personnel such as managers, interact to influence the provision of medical services. As in the experience of the COVID-19 era, the local situation is so different that there is no one-size-fits-all way to maximize synergies between different parties and enhance the medical system.

Dynamic Healthcare Worker Market Management: Healthcare professionals in India are made up of doctors, nursing and emergency care professionals, public health care professionals, and hospital managers, with vast variations in levels and skills. Managing a dynamic healthcare market and improving the distribution and performance of existing healthcare professionals is critical to ensuring efficient healthcare professionals. Suggestive guidelines for further improvement during a pandemic include increasing the skilled workforce, using digital health to increase the accessibility and availability of various treatments / interventions, and advise the general public. .. There is a strong need to develop a district hospital as an outstanding center for providing training, technical and professional support to public and private sector institutions in the district. We need to strengthen the capabilities of the region.

Strategic use of information: It is an integral part of leadership and governance in the healthcare system. A well-functioning health information system ensures the creation, analysis, distribution, and use of reliable and timely health information by decision makers at various levels of the health system. Information systems need to be capable of integrating information, facilitating the availability and application of knowledge, and making better and more timely decisions, instead of submitting monthly reports on a regular basis. .. Recent experience strongly suggests strengthening health monitoring information systems for public health-critical diseases.

Medical products, vaccines, technology: A well-functioning medical system provides fair access to key medical products, vaccines and technologies that are guaranteed quality, safety, effectiveness and cost effectiveness, and their scientifically sound and cost-effective use. Guarantee. The recent experience with COVID-19 strongly suggests revisiting the Indian Public Health Standards (IPHS) for district hospitals, quasi-district hospitals, community health centers, primary care centers, and subcenters. Together, these public health agencies are the nerves of public health. Those standards for Indian systems, service delivery, human resources, equipment, supply and infrastructure need to be revisited for better health outcomes. Guidelines for implementing various national health programs need to be reviewed and revised in response to COVID-19. Similarly, attention should be paid to sourcing process, supply, storage and distribution system policies and guidelines.

Coordination of Central, State, and Private Financing: A good medical financial system raises sufficient medical funding to enable people to access the medical services they need and protects them from the financial catastrophe and poverty associated with their payments. There is an urgent need to increase public health spending in India. The 2017 National Health Policy aims to increase public health spending from the current 1.3% to 2.5% of GDP by 2025. Questions arise because India’s healthcare system is clearly underfunded. Can this speed and effort achieve the intended goals of national health policy? India’s health care fiscal policy should focus on improving the resilience of the health care system and improving health safety, and universal health insurance, combined with the state government, will increase the health care budget by more than 8% of the state budget. It is necessary to completely change the policy thinking. Aside from rising public health spending, the private sector plays an important role in providing medical services, so a strong and viable policy for private sector involvement is a need for time. Policy makers, as part of India’s response to COVID-19, have tailored contextual strategies for engaging the private sector, especially in terms of space, staff and systems where available CSR funding is available. You need to find and select. It is utilized by both the central and state governments.

Leadership and Governance for Strategic Approach: This is the most complex but important component of India’s health care system, identifying the role of government and its relationships with other parties whose activities affect the health care system. Health care system supervision and guidance are the keys to ensuring that a strategic policy framework exists: effective supervision, coalition building, proper regulation and incentives, attention to system design, and Combined with accountability. The pandemic shows that India’s healthcare system needs a clear vision to strengthen national health standards with a long-term strategic approach. To develop a resilient health system, India learns from experience, feeds back into policy cycles, supports governance and socio-economic contexts, synergizes sectors and stakeholders, and under effective government supervision. Need to promote dialogue and cooperation between the public and private sectors.

Government and non-governmental organizations need to develop long-term strategic frameworks to strengthen the health care system. This is the time to transform India’s healthcare system.

Transforming India’s Health Care System for Universal Care: Learning from COVID-19

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